Learning for life: WRULD

Life Long Learning and Continuing Professional Development (CPD) are the
processes by which professionals, such as nurses, develop and improve their

There are many ways to address CPD: formally, through attending courses,
study days and workshops; or informally, through private study and reflection.
Reading articles in professional journals is a good way of keeping up-to-date
with what is going on in the field of practice, but reflecting and identifying
what you have learned is not always easy.

These questions are designed to help you to identify what you have learned
from studying the article. They will also help you to clarify what you can
apply to practice, what you did not understand and what you need to explore

1. How was the state of work-related upper limb disorders (WRULD) in
podiatrists identified?

a) Through focus groups
b) By questionnaire
c) By Mori poll
d) Through medical notes

2. WRULD may be caused by

a) Stress
b) Trauma
c) Repetitive tasks
d) Arthritis

3. How many podiatrists were piloted the questionnaire?

a) 15
b) 12
c) 10
d) 8

4. The sample size for the survey was

a) Small
b) Medium
c) Large
d) Extra large

5. What question was added to the questionnaire?

a) Average length of breaks
b) How many patients podiatrists see per day
c) What other work do you do?
d) Do you have a family?

6. What question was omitted from the questionnaire?

a) Age range
b) Hours worked?
c) What, if any, hobbies podiatrists have?
d) Average length of time spent gripping per day?

7. Who, besides OH, could help to improve podiatrists working practices

a) Managers, physiotherapists, doctors
b) Managers, physiotherapists, health and safety
c) Health and safety, physiotherapists, doctors
d) Managers, physiotherapists, health and safety

8. What does NOT need to be considered with regard to the instruments

a) Cost
b) Size
c) Pressure
d) Sharpness

9. What ergonomic factors should be considered for podiatrists?

a) Work space, position of couch and chair
b) Work space, adjustable couch and chair
c) Height of couch and chair
d) Patient’s position

10. What helps to stop callus formation?

a) Correct shoe fitting
b) Regular care of the feet
c) Debridement
d) All of the above


1) b – Although with small groups, a focus group
approach may help supply quite a bit of information too. Refresh your knowledge
of the advantages and disadvantages of using questionnaires. 2) c – All
three other answers may contribute to WRULD, of course. 3) d 4) a 5) b –
This shows the value of piloting a questionnaire. 6) c – This shows that
even with piloting you can still miss vital questions. Discuss the use of
questionnaires with your colleagues and find out what people find good and bad
about them. 7) d  – I would like
to add occupational therapists here because they could work with patients to
help prevent foot problems by supporting patients so they are able to care for
their own feet. Is there also a role here for practice nurses, health visitors
etc. on health education? Therefore, should we be working with other members of
the primary care team? 8) a – Cost is important, of course, but the price will
not necessarily prevent WRULD. 9) b – Are there other members of the
healthcare professions that need their workplaces looked at from an ergonomic
perspective? 10) d  Again, is
this where OH can work with others on health education on care of the feet.
Consider what you can do. How can you help educate people to prevent callus
formation and develop healthy feet for later life?


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